Is it wise to use rib cartilage on primary rhinoplasty? Also should I augment my radix? (Photo)

Do you need rib Cartlidge? You can have a reduction rhinoplasty with elevation of the nasal tip and elevation of your hanging columella with a closed rhinoplasty and no Cartlidge graphs at all. The best way to elevate the tip and hangingcolumella is to invaginate it up onto the caudal portion of your existing septum. This is the strongest and best support and works extremely well.

Hi, thank you for the question. My recommendation is not to touch rib or ear area for first surgery. It is not necessary. For radix, it may need some filling during surgery, a little bit although evaluating limited images. Also, your expectations should be listened before surgery. Regards. OprDr Cem Altindag

Providing that this is your first rhinoplasty, you will have sufficient amount of cartilage in your septum to be used for all needed support (tip, columella, alar rim). It looks that shortening of the nose and tip rotation/elevation would be the most important part of your rhinoplasty; dorsum augmentation may not be needed at all. Good luck.